数字 X 光线照相术在四川地震压碎胸的损伤

• 作者: Heng Shao Jing Chen Si-Shi Tang Tian-Wu Chen Wen Deng Zhi-Gang Chu Zhi-Gang Yang Zhi-Hui Dong
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Earthquake PLEURA Pulmonary PARENCHYMA RADIOGRAPHY THORACIC TRAUMA
• 年，卷（期）: 2011,（11）
• 页码范围: 273-278
• 页数: 6页
• 分类号: R655

摘要

AIM:To investigate the features of crush thoracic trauma in Sichuan earthquake victims using chest digital radiography(CDR).METHODS:We retrospectively reviewed 772 CDR of 417 females and 355 males who had suffered crush thoracic trauma in the Sichuan earthquake.Patient age ranged from 0.5 to 103 years.CDR was performed between May 12,2008 and June 7,2008.We looked for injury to the thoracic cage,pulmonary parenchyma and the pleura.obtained in 349 patients,the remaining 423 patients underwent only AP CDR.Thoracic cage fractures,pulmonary contusion and pleural injuries were noted in 331(42.9%;95% CI:39.4%-46.4%),67 and 135 patients,respectively.Of the 256 patients with rib fractures,the mean number of fractured ribs per patient was 3.Rib fractures were mostly distributed from the 3rd through to the 8th ribs and the vast majority involved posterior and lateral locations along the rib.Rib fractures had a significant positive association with non-rib thoracic fractures,pulmonary contusion and pleural injuries(P 【 0.001).The number of rib fractures and pulmonary contusions were significant factors associated with patient death.CONCLUSION:Earthquake-related crush thoracic trauma has the potential for multiple fractures.The high number of fractured ribs and pulmonary contusions were significant factors which needed appropriate medical treatment.